KVV-34439-49590
3 vaccinations
9 coded responses
40 check-ins
9 free-text entries
4 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 983 / WA
- Registered
- 2021-04-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-05
Registered in v-safe
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2021-04-05
Dose 1 — Moderna
- 2021-04-05
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2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Menstrual disorder, Unevaluable event — Feeling: Good · Site: PainFree text: Monthly menstrual cycleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tirednessFree text: Monthly menstrual cycleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-12
- 2021-04-19
- 2021-04-26
-
2021-05-03
Dose 2 — Moderna
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2021-05-03
Health check-in — day 0, dose 2Feeling: Fair · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-05-04
Survey response — days 1–6 daily, dose 2MedDRA: Sensitive skin — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sensitive/ painful skinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
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2021-05-31
Survey response — day 28, dose 2MedDRA: Pregnancy — Feeling: GoodFree text: Positive pregnancy testMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-07
- 2021-06-14
- 2021-08-04
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2021-11-01
Survey response — 6 months, dose 2MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Report sent to call center — 6 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2021-11-09
- 2021-11-12
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2021-12-27
Dose 3 — Moderna
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2021-12-28
Survey response — days 1–6 daily, dose 3MedDRA: Dehydration, Sensitive skin — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Sensitive skin, dehydrationMedDRA releases: 2024-11 · check-in free text available
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2021-12-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-12-31
- 2022-01-01
- 2022-01-02
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2022-01-03
Survey response — day 7, dose 3MedDRA: Abortion spontaneous — Feeling: Fair · Muscle or body aches · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2022-01-03
Report sent to call center — day 7, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-04
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2022-01-10
Survey response — day 14, dose 3MedDRA: Abortion spontaneous, Heavy menstrual bleeding — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Miscarriage heavy bleedingMedDRA releases: 2024-11 · check-in free text available
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2022-01-10
Report sent to call center — day 14, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-01-11
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-02-07
- 2022-03-28
- 2022-06-27
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2022-12-27
Survey response — 12 months, dose 3MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: MiscarriageMedDRA releases: 2024-11 · check-in free text available
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2022-12-27
Report sent to call center — 12 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
-
2022-12-28
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | |
| 2 | 2021-05-03 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
Call center
| Reported | Outcome | VAERS-related outcome |
|---|---|---|
| 2021-11-01 | Successful 2022-12-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-01-03 | Successful 2022-12-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-01-10 | Successful 2022-12-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
| 2022-12-27 | Successful 2022-12-28 |
Not applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Monthly menstrual cycle
Systemic reaction (other): Monthly menstrual cycle
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sensitive/ painful skin
Release 8 — day 28, dose 2
Symptoms: Positive pregnancy test
Release 10 — 6 months, dose 2
Symptoms: Miscarriage
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sensitive skin, dehydration
Release 10 — day 7, dose 3
Systemic reaction (other): Miscarriage
Release 10 — day 14, dose 3
Symptoms: Miscarriage heavy bleeding
Release 12 — 12 months, dose 3
Symptoms: Miscarriage
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Abortion spontaneous | · | · | ✓ |
| SD | Heavy menstrual bleeding | · | · | ✓ |
| SD | Pregnancy | ✓ | ✓ | ✓ |
| SRO | Abortion spontaneous | · | · | ✓ |
| SRO | Dehydration | · | · | ✓ |
| SRO | Menstrual disorder | ○ | ✓ | ○ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release